Evidence map›Paper›PMID 33177951›Full record

ArticleMediators of inflammation2020

Correlation between Blood and CSF Compartment Cytokines and Chemokines in Subjects with Cryptococcal Meningitis.

Elizabeth C Okafor, Katherine H Hullsiek, Darlisha A Williams, James E Scriven, Joshua Rhein, Henry W Nabeta, Abdu K Musubire, Radha Rajasingham, Conrad Muzoora, Charlotte Schutz and 3 more

Open access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Peripheral blood CD4The Journal of infection · 2025
    Article
  6. Article
  7. Article
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  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 3 countries.

Elizabeth C OkaforDepartment of Medicine, University of Minnesota, 55455 Minneapolis, MN, USA.ORCID https://orcid.org/0000-0003-1495-4596
Katherine H HullsiekSchool of Public Health, University of Minnesota, 55455 Minneapolis, MN, USA.ORCID https://orcid.org/0000-0002-2754-3473
Darlisha A WilliamsDepartment of Medicine, University of Minnesota, 55455 Minneapolis, MN, USA.ORCID https://orcid.org/0000-0001-8932-5060
James E ScrivenWellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, and Department of Medicine, Observatory 7925 University of Cape Town, South Africa.ORCID https://orcid.org/0000-0001-8463-7137
Joshua RheinDepartment of Medicine, University of Minnesota, 55455 Minneapolis, MN, USA.ORCID https://orcid.org/0000-0002-0480-9646
Henry W NabetaInfectious Diseases Institute, Makerere University, P.O. Box 22418 Kampala, Uganda.ORCID https://orcid.org/0000-0003-0351-507X
Abdu K MusubireInfectious Diseases Institute, Makerere University, P.O. Box 22418 Kampala, Uganda.ORCID https://orcid.org/0000-0003-2410-5344
Radha RajasinghamDepartment of Medicine, University of Minnesota, 55455 Minneapolis, MN, USA.ORCID https://orcid.org/0000-0001-5531-0231
Conrad MuzooraDepartment of Medicine, Mbarara University of Science and Technology, P.O. Box 1410 Mbarara, Uganda.ORCID https://orcid.org/0000-0002-7866-5198
Charlotte SchutzWellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, and Department of Medicine, Observatory 7925 University of Cape Town, South Africa.ORCID https://orcid.org/0000-0001-8329-6158
Graeme MeintjesWellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, and Department of Medicine, Observatory 7925 University of Cape Town, South Africa.ORCID https://orcid.org/0000-0003-1196-4414
David B MeyaDepartment of Medicine, University of Minnesota, 55455 Minneapolis, MN, USA.ORCID https://orcid.org/0000-0002-4138-240X
David R BoulwareDepartment of Medicine, University of Minnesota, 55455 Minneapolis, MN, USA.ORCID https://orcid.org/0000-0002-4715-0060
University of Minnesota · USUniversity of Cape Town · ZAInfectious Diseases Institute · UGMbarara University of Science and Technology · UG

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Improving Diagnostics and Neurocognitive Outcomes in HIV/AIDS-related MeningitisR01NS086312 · NINDS · UNIVERSITY OF MINNESOTA · PI David R Boulware, David Bisagaya Meya · 2013 to 2026
$8.3M
Trial for the Optimal Timing of HIV Therapy after Cryptococcal MeningitisU01AI089244 · NIAID · UNIVERSITY OF MINNESOTA · PI BOULWARE, DAVID R · 2010 to 2014
$7.6M
Infectious Disease Training in Clinical InvestigationT32AI055433 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI David R Boulware · 2003 to 2026
$6.1M
Medical Scientist Training ProgramT32GM152284 · NIGMS · VANDERBILT UNIVERSITY · PI Christopher S. Williams · 2024 to 2026
$4.8M
Operational Research for Cryptococcal Antigen Screening (ORCAS) of HIV PatientsU01AI125003 · NIAID · UNIVERSITY OF MINNESOTA · PI BOULWARE, DAVID R, MEYA, DAVID BISAGAYA · 2016 to 2020
$3.4M
Evaluation of CRAG screening with enhanced antifungal therapy for asymptomatic CRAG-positive personsK23AI138851 · NIAID · UNIVERSITY OF MINNESOTA · PI RAJASINGHAM, RADHA · 2018 to 2022
$954k
Improving Outcomes of HIV-Associated Cryptococcosis in Resource-Limited SettingsK01TW010268 · FIC · UNIVERSITY OF MINNESOTA · PI RHEIN, JOSHUA R · 2016 to 2020
$703k
Epidemiology, Immunopathogenesis, and Outcomes of Non-traumatic Spinal Cord Injury in UgandaK43TW010718 · FIC · INFECTIOUS DISEASES INSTITUTE · PI MUSUBIRE, ABDU KISEKKA · 2017 to 2021
$514k
FIC NIH HHS K01 TW010268FIC NIH HHS K43 TW010718Medical Research Council MR/T024917/1NIAID NIH HHS K23 AI138851NIAID NIH HHS T32 AI055433NIAID NIH HHS U01 AI125003NIGMS NIH HHS T32 GM007347NIGMS NIH HHS T32 GM152284NINDS NIH HHS R01 NS086312
6 · The paper itself

Abstract

backgroundThough peripheral blood is a crucial sample to study immunology, it is unclear whether the immune environment in the peripheral vasculature correlates with that at the end-organ site of infection. Using cryptococcal meningitis as a model, we investigated the correlation between serum and cerebrospinal fluid biomarkers over time.

methodsWe analyzed the cerebrospinal fluid and serum of 160 subjects presenting with first episode cryptococcal meningitis for soluble cytokines and chemokines measured by Luminex assay. Specimens were collected at meningitis diagnosis, 1-week, and 2-week post cryptococcal diagnosis. We compared paired samples by Spearman's correlation and the

resultsOf the 21 analytes tested at baseline, there was no correlation detected between nearly all analytes. A weak negative correlation was found between serum and cerebrospinal fluid levels of interferon-gamma (Rho = -0.214;

conclusionBased on our analysis of 21 biomarkers, serum and cerebrospinal fluid immune responses do not correlate. There appears to be a distinct immune environment in terms of soluble biomarkers in the vasculature versus end-organ site of infection. While this is a model of HIV-related cryptococcal meningitis, we postulate that assuming the blood compartment is representative of the immune function at the end-organ site of infection may not be appropriate.

Indexed as

AdultBiomarkersChemokinesCytokinesFemaleGranulocyte Colony-Stimulating FactorHIV InfectionsHumansImmune SystemImmunocompromised HostInterferon-gammaInterleukin-4MaleMeningitis, CryptococcalReproducibility of ResultsBiomarkersChemokinesCytokinesGranulocyte Colony-Stimulating FactorInterferon-gammaInterleukin-4

Identifiers

PMID33177951
PMCPMC7644322
OpenAlexW3095387787

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.